Device and method of monitoring a position and predicting an exit of a subject on or from a substrate

• US 9,445,751 B2
• Filed: 07/18/2013
• Issued: 09/20/2016
• Est. Priority Date: 07/18/2013
• Status: Active Grant

• Current Assignee: Sleep Number Corporation
• Original Assignee: SleepIQ Labs Inc. (Sleep Number Corporation)
• Inventors: Young, Steven J., Hewitt, Carl, Luckow, Al
• Primary Examiner(s): Jackson, Gary
• Assistant Examiner(s): Nganga, Boniface N
• Application Number:
  US13/945,554
• Publication Number:
  US 20150025327A1
• Time in Patent Office: 1,160 Days
• Field of Search: 600/300, 600/301, 600/509, 600/529, 600/587
• US Class Current: 1/1
• CPC Class Codes: A61B 2562/0247 Pressure sensors
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 5/0816 Measuring devices for examining respiratory frequency measuring frequency of electric signals G01R23/00
• CPC Class Codes: A61B 5/1115 Monitoring leaving of a patient support, e.g. a bed or a wheelchair
• CPC Class Codes: A61B 5/1116 Determining posture transitions
• CPC Class Codes: A61B 5/1117 Fall detection
• CPC Class Codes: A61B 5/6891 Furniture
• CPC Class Codes: A61B 5/6892 Mats
• CPC Class Codes: A61B 5/6894 Wheel chairs
• CPC Class Codes: A61B 5/7275 Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
• CPC Class Codes: A61B 5/746 Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms alarms per se G08B

Abstract

Methods and devices for monitoring the position of a subject are disclosed. One such method includes sensing pressure waves generated by the subject moving on a divided bladder comprising interleaved portions, generating signals indicative of the pressure waves for each of the interleaved portions, and sending the signals to a processor. The method further includes determining the position of the subject based on the difference between the signals from each of the interleaved portions and generating a pattern for the subject. The pattern includes the presence and/or position of the subject over time. The method further includes predicting an action such as an exit of the subject from the divided bladder based on comparing a current pattern for the subject to previous patterns for the subject.

Claims

1. A method for monitoring a subject, comprising:

sensing incident pressure waves generated by the subject moving on a divided bladder having a width and a length, the divided bladder comprising a first interleaved portion and a second interleaved portion, wherein the first interleaved portion has a first set of fingers and the second interleaved portion has a second set of fingers, wherein the first set of fingers is interleaved with the second set of fingers, wherein each of the first and second interleaved portions extends nearly the entire width of the divided bladder so as to define a horizontal axis extending laterally along the first and second interleaved portions with at least one first sensor in fluid communication with the first interleaved portion of the bladder and at least one second sensor in fluid communication with the second interleaved portion of the divided bladder, such that the at least one first sensor detects degree of pressure exerted on the first interleaved portion by the subject and the at least one second sensor detects degree of pressure exerted on the second interleaved portion by the subject;

generating signals substantially concurrently from each of the first and second interleaved portions indicative of the incident pressure waves for each of the first and second interleaved portions of the bladder and sending the signals to a processor;

determining a horizontal position of the subject along the horizontal axis of the interleaved portions of the divided bladder as a function of a difference between the signals from each of the first and second interleaved portions; and

generating a horizontal position pattern for the subject over a period of time wherein the horizontal position pattern includes a plurality of positions along the horizontal axis and a trajectory of movement between the plurality of horizontal positions over the period of time.

2. The method of claim 1, further comprising:

sending an indication to an external device if the horizontal position of the subject crosses a threshold, the threshold being along the horizontal axis of the interleaved portions and a certain distance from an edge of a bed in which the divided bladder is incorporated.

3. The method of claim 1, further comprising:

predicting an action of the subject while on the divided bladder based on the horizontal position pattern.

4. The method of claim 3, wherein the action is exiting a bed in which the divided bladder is incorporated.

5. The method of claim 3, further comprising:

communicating information related to the action of the subject to an external device;

the information configured to trigger assistance with the action or prevention of the action.

6. The method of claim 3, wherein predicting the action comprises generating an estimated position pattern based on the trajectory of movement in the generated position pattern.

7. The method of claim 6, wherein the estimated position pattern is further based on stored historical position patterns of the subject.

8. The method of claim 1, further comprising:

determining a configuration of the subject on the divided bladder based on one or both of a magnitude and a frequency of the signals from each of the interleaved portions, the configuration being one of lying down, partially reclining, and sitting up, wherein the configuration of the subject is determined in addition to the horizontal position of the subject along the horizontal axis of the interleaved portions.

9. The method of claim 8, wherein determining a configuration comprises distinguishing one or both of a heart rate a respiration rate from the signals.

10. The method of claim 1, and further comprising a second divided bladder having a third interleaved portion and a fourth interleaved portion, wherein the third interleaved portion has a third set of fingers and the fourth interleaved portion has a fourth set of fingers, wherein the third set of fingers is interleaved with the fourth set of fingers, wherein each of the third and fourth interleaved portions extends nearly the entire length of the second divided bladder so as to define a second axis extending along the third and fourth interleaved portions in a direction that is substantially perpendicular to the horizontal axis, wherein the divided bladder and the second divided bladder are stacked, and wherein the method further comprises determining the position of the subject along the second axis as a function of a difference between signals from the third and fourth interleaved portions of the second bladder.

11. A non-intrusive monitoring device for monitoring a subject, the device comprising:

a divided bladder having a width and a length, the divided bladder comprising a first interleaved portion and a second interleaved portion, wherein the first interleaved portion has a first set of fingers and the second interleaved portion has a second set of fingers, wherein the first set of fingers is interleaved with the second set of fingers, wherein each of the first and second interleaved portions extends nearly the entire width of the divided bladder so as to define a horizontal axis extending laterally along the first and second interleaved portions;

one or more first sensors in fluid communication with the first interleaved portion of the divided bladder and one or more second sensors in fluid communication with the second interleaved portion of the divided bladder wherein the one or more first and second sensors are configured to substantially concurrently generate signals in response to pressure variations resulting from movement of a subject horizontally along the horizontal axis of the interleaved portions of the divided bladder; and

a processor configured to;

receive signals from the one or more sensors for each of the interleaved portions;

determine a horizontal position of the subject along the horizontal axis of the interleaved portions of the divided bladder as a function of a difference between the signals from each of the interleaved portions; and

generate a horizontal position pattern for the subject over a period of time wherein the horizontal position pattern includes a plurality of positions along the horizontal axis and a trajectory of movement between the plurality of horizontal positions over the period of time.

12. The device of claim 11, wherein the processor is further configured to:

send an indication to an external device if the position of the subject crosses a threshold, the threshold being along the horizontal axis of the interleaved portions and a certain distance from an edge of a bed in which the divided bladder is incorporated.

13. The device of claim 11, wherein the processor is further configured to:

predict an action of the subject while on the divided bladder based on the position pattern along the horizontal axis.

14. The device of claim 13, wherein the action is exiting a bed in which the divided bladder is incorporated.

15. The device of claim 13, wherein the processor is further configured to:

communicate information related to the action of the subject to an external device;

the information configured to trigger assistance with the action or prevention of the action.

16. The device of claim 13, wherein, when predicting the action, the processor is further configured to generate an estimated position pattern based on the trajectory of movement in the generated position pattern.

17. The device of claim 16, wherein the estimated position pattern is further based on stored historical position patterns of the subject.

18. The device of claim 11, wherein the processor is further configured to:

determine a configuration of the subject on the divided bladder based on one or both of a magnitude and a frequency of the signals from each of the interleaved portions, the configuration being one of lying down, partially reclining, and sitting up, wherein the configuration of the subject is determined in addition to the horizontal position of the subject along the horizontal axis of the interleaved portions.

19. The device of claim 11, and further comprising a second divided bladder having a third interleaved portion and a fourth interleaved portion, wherein the third interleaved portion has a third set of fingers and the fourth interleaved portion has a fourth set of fingers, wherein the third set of fingers is interleaved with the fourth set of fingers, wherein each of the third and fourth interleaved portions extends nearly the entire length of the second divided bladder so as to define a second axis extending along the third and fourth interleaved portions in a direction that is substantially perpendicular to the horizontal axis, wherein the divided bladder and the second divided bladder are stacked, and wherein the processor determines position of the subject along the second axis as a function of a difference between signals from the third and fourth interleaved portions.

20. The device of claim 11, wherein at least some fingers in the first set of fingers are substantially triangular so as to taper substantially continuously in a direction extending along the horizontal axis from the first interleaved portion toward the second interleaved portion and wherein at least some fingers in the second set of fingers are substantially triangular so as to taper substantially continuously in a direction extending along the horizontal axis from the second interleaved portion toward the first interleaved portion.

21. The device of claim 11, wherein the first and second sets of fingers are configured such that pressure changes substantially linearly in each of the first and second interleaved portions of the divided bladder as the subject moves horizontally along the horizontal axis of the interleaved portions such that the horizontal position of subject along the horizontal axis can be determined in a linear manner as the function of the difference between the signals from each of the interleaved portions.

22. The device of claim 11, wherein the divided bladder comprises a seam separating the divided bladder into the first and second interleaved portions.

23. The device of claim 11, wherein the divided bladder comprises a seam extending substantially in a zig-zag pattern and separating the divided bladder into the first and second interleaved portions.

24. A device for monitoring the position of a subject on a substrate, comprising:

a sensing unit having a divided bladder having a width and a length, the divided bladder comprising a first interleaved portion and a second interleaved portion, wherein the first interleaved portion has a first set of fingers and the second interleaved portion has a second set of fingers, wherein the first set of fingers is interleaved with the second set of fingers, wherein each of the first and second interleaved portions extends nearly the entire width of the divided bladder so as to define a horizontal axis extending laterally along the first and second interleaved portions, and one or more sensors in fluid communication with each of the first and second interleaved portions, wherein the one or more sensors are configured to sense pressure variations within the divided bladder generated by movement of the subject along the horizontal axis of the interleaved portions and to generate signals indicative of the pressure variations;

a processor configured to receive the signals and to determine and generate output indicative of a time-based pattern of the subject'"'"'s horizontal position along the horizontal axis on the substrate as a function of the difference between the signals from each of the first and second interleaved portions; and

an external device configured to display the output.